| Parent File | Name | Number | Package |
|---|---|---|---|
| 665.72319 | ITEM | 665.723191 | Prosthetics |
| Field # | Name | Loc | Type | Details |
|---|---|---|---|---|
| .01 | ITEM | 0;1 | POINTER TO PROS ITEM MASTER FILE (#661) | ************************REQUIRED FIELD************************ PROS ITEM MASTER(#661)
|
| 1 | PRIMARY ITEM | 0;8 | SET |
|
| 2 | HCPCS CODE | 0;2 | POINTER TO PROSTHETIC HCPCS FILE (#661.1) | ************************REQUIRED FIELD************************ PROSTHETIC HCPCS(#661.1)
|
| 3 | FCP | 0;3 | FREE TEXT |
|
| 4 | REMARKS | 0;4 | FREE TEXT |
|
| 5 | UNIT COST | 0;5 | NUMBER |
|
| 6 | ITEM TOTAL | 0;6 | NUMBER |
|
| 7 | QUANTITY | 0;7 | NUMBER | ************************REQUIRED FIELD************************
|
| 8 | POSTED FLAG | 0;10 | SET |
|
| 9 | ICD9 CODE | 0;9 | POINTER TO ICD DIAGNOSIS FILE (#80) | ICD DIAGNOSIS(#80)
|
| 10 | SUSPENDED AMOUNT | 0;11 | NUMBER |
|
| 11 | SUSPENDED REASON | 0;12 | FREE TEXT |
|
| 12 | BACK-PTR | 0;13 | NUMBER |
|
| 13 | ITEM TYPE | 0;14 | SET |
|
| 14 | UNIT OF ISSUE | 0;15 | POINTER TO UNIT OF ISSUE FILE (#420.5) | UNIT OF ISSUE(#420.5)
|
| 15 | PROSTHETICS APPLIANCE REPAIR | 0;16 | POINTER TO RECORD OF PROS APPLIANCE/REPAIR FILE (#660) | RECORD OF PROS APPLIANCE/REPAIR(#660)
|
| 16 | SUSPENDED QUANTITY | 0;17 | NUMBER |
|
| 17 | RENTAL FLAG | 0;18 | SET |
|
| 18 | HOME OXYGEN CONSERVING FLAG | 0;19 | SET |
|
| 100 | PFSS ACCOUNT REFERENCE | PFSS;1 | POINTER TO PFSS ACCOUNT FILE (#375) | PFSS ACCOUNT(#375)
|
| 101 | PFSS UNIQUE CHARGE ID | PFSS;2 | NUMBER |
|
| 102 | REQUESTOR | PFSS;3 | POINTER TO NEW PERSON FILE (#200) | NEW PERSON(#200)
|